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Contact Information

BENJAMIN L MOOSAVI, MD
3075 US ROUTE 60 STE E540
HUNTINGTON, WV25705-8859
 Phone: 304-528-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BENJAMIN L MOOSAVI · (Male)

NPI Number 1801000906
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2007
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 64608
  • WV License # 22625
  • GA Medicaid 376460880B
Hospital affiliation(s)
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    2900 1ST AVENUE
    HUNTINGTON, WV 25701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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